Operate, actions
Actions
Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.
Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed
Actions
26,640 derived from the last resolution run
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-011063 | Outreach address corrected Outreach | Jason Mason: 6011 Washington St, Sacramento → 6011 Washington St Apt 11, Sacramento |
| Proposed | — | ||
| ACT-011064 | Outreach address corrected Outreach | Wei Morrison: 5478 Canyon Rd Apt 34, Plano → 5478 Canyon Rd, Plano |
| Proposed | — | ||
| ACT-011065 | Outreach address corrected Outreach | Mary Young: 9853 Sage Ct Apt 39, Mesa → 9853 Sage Ct, Mesa |
| Proposed | — | ||
| ACT-011066 | Outreach address corrected Outreach | Rebecca Duncan: 1670 Broadway, Gilbert → 2569 Broadway, Denver |
| Proposed | — | ||
| ACT-011067 | Outreach address corrected Outreach | Arjun Holmes: 5851 Main St, Glendale → 5851 Main St Apt 35, Glendale |
| Proposed | — | ||
| ACT-011068 | Outreach address corrected Outreach | Jack Dunn: 414 Broadway, Nashville → 414 Broadway Apt 40, Nashville |
| Proposed | — | ||
| ACT-011069 | Outreach address corrected Outreach | Lawrence Jackson: 3008 Ocean Ave, Austin → 8802 Harbor Blvd, Nashville |
| Proposed | — | ||
| ACT-011070 | Outreach address corrected Outreach | Aisha Hughes: 5338 Cedar Ln, Denver → 5338 Cedar Ln # 606, Denver |
| Proposed | — | ||
| ACT-011071 | Outreach address corrected Outreach | Beverly Vasquez: 3211 Meadow Ln, Denver → 3211 Meadow Ln Apt 35, Denver |
| Proposed | — | ||
| ACT-011072 | Outreach address corrected Outreach | Evelyn Rice: 456 Palm Dr, San Antonio → 456 Palm Dr Apt 31, San Antonio |
| Proposed | — | ||
| ACT-011073 | Outreach address corrected Outreach | Catherine Cunningham: 615 River Rd # 272, Sacramento → 5687 River Rd, Miami |
| Proposed | — | ||
| ACT-011074 | Outreach address corrected Outreach | Lawrence Berry: 5911 Lake View Rd # 254, Seattle → 4585 Canyon Rd, Miami |
| Proposed | — | ||
| ACT-011075 | Outreach address corrected Outreach | Logan Sanders: 5114 Forest Ave Apt 26, Fresno → 5114 Forest Ave, Fresno |
| Proposed | — | ||
| ACT-011076 | Outreach address corrected Outreach | Rebecca Sims: 9430 Broadway, Seattle → 9430 Broadway Apt 5, Seattle |
| Proposed | — | ||
| ACT-011077 | Outreach address corrected Outreach | Nathan Hall: 7748 Bayshore Dr Apt 6, Austin → 7748 Bayshore Dr, Austin |
| Proposed | — | ||
| ACT-011078 | Outreach address corrected Outreach | Elijah Campbell: 6580 Central Ave # 332, Sacramento → 6580 Central Ave, Sacramento |
| Proposed | — | ||
| ACT-011079 | Outreach address corrected Outreach | Kevin Burton: 2103 Forest Ave, Tampa → 6383 Mountain View Dr, Gilbert |
| Proposed | — | ||
| ACT-011080 | Outreach address corrected Outreach | Eric Wright: 5338 Main St Apt 14, Mesa → 5338 Main St, Mesa |
| Proposed | — | ||
| ACT-011081 | Outreach address corrected Outreach | Heather Rice: 5355 Broadway, Charlotte → 8115 Elm St, Scottsdale |
| Proposed | — | ||
| ACT-011082 | Outreach address corrected Outreach | Cheryl Little: 4835 Hillcrest Rd Apt 33, Eden Prairie → 4835 Hillcrest Rd, Eden Prairie |
| Proposed | — | ||
| ACT-011083 | Outreach address corrected Outreach | David Lee: 997 Desert Sky Blvd Apt 14, Mesa → 997 Desert Sky Blvd, Mesa |
| Proposed | — | ||
| ACT-011084 | Outreach address corrected Outreach | Frank Richards: 7427 Union St, Chandler → 7427 Union St # 125, Chandler |
| Proposed | — | ||
| ACT-011085 | Outreach address corrected Outreach | Rebecca Carlson: 3457 Bayshore Dr, Chandler → 3457 Bayshore Dr Apt 27, Chandler |
| Proposed | — | ||
| ACT-011086 | Outreach address corrected Outreach | Amanda Phillips: 3745 Canyon Rd, Mesa → 3745 Canyon Rd # 260, Mesa |
| Proposed | — | ||
| ACT-011087 | Outreach address corrected Outreach | Elijah Spencer: 3963 Forest Ave, Sacramento → 3963 Forest Ave Apt 35, Sacramento |
| Proposed | — | ||
| ACT-011088 | Outreach address corrected Outreach | Gregory Richardson: 1687 Palm Dr Apt 34, Dallas → 1687 Palm Dr, Dallas |
| Proposed | — | ||
| ACT-011089 | Outreach address corrected Outreach | Ryan Grant: 6174 Valley View Dr, Tucson → 6174 Valley View Dr # 604, Tucson |
| Proposed | — | ||
| ACT-011090 | Outreach address corrected Outreach | Timothy Hill: 4849 Spring St, Houston → 7501 Grand Ave, Minneapolis |
| Proposed | — | ||
| ACT-011091 | Outreach address corrected Outreach | Amber Coleman: 6563 Valley View Dr Apt 28, Jacksonville → 6563 Valley View Dr, Jacksonville |
| Proposed | — | ||
| ACT-011092 | Outreach address corrected Outreach | Maria Mejia: 5673 Elm St, Scottsdale → 6944 Park Pl, Chandler |
| Proposed | — | ||
| ACT-011093 | Outreach address corrected Outreach | Annna Reid: 8941 Ocean Ave, Tempe → 6762 Spring St, Fresno |
| Proposed | — | ||
| ACT-011094 | Outreach address corrected Outreach | Alexis Little: 3461 Baseline Rd # 710, Chandler → 3461 Baseline Rd, Chandler |
| Proposed | — | ||
| ACT-011095 | Outreach address corrected Outreach | Don Price: 1458 Oak St, San Antonio → 1458 Oak St # 770, San Antonio |
| Proposed | — | ||
| ACT-011096 | Outreach address corrected Outreach | Marilyn Gonzals: 823 Mountain View Dr, Columbus → 5305 Forest Ave, Sacramento |
| Proposed | — | ||
| ACT-011097 | Outreach address corrected Outreach | Kevin George: 1143 Jefferson Ave, Houston → 1143 Jefferson Ave # 221, Houston |
| Proposed | — | ||
| ACT-011098 | Outreach address corrected Outreach | Sandra Reed: 4807 Central Ave Apt 37, Columbus → 4807 Central Ave, Columbus |
| Proposed | — | ||
| ACT-011099 | Outreach address corrected Outreach | Santiago Hoffman: 2511 Harbor Blvd, Orlando → 2511 Harbor Blvd # 508, Orlando |
| Proposed | — | ||
| ACT-011100 | Outreach address corrected Outreach | Cynthia Ray: 8816 Meadow Ln, Orlando → 2807 Lake View Rd, Houston |
| Proposed | — | ||
| ACT-011101 | Outreach address corrected Outreach | Joshua Brown: 7905 Sunset Blvd, Tampa → 6299 Meadow Ln, Glendale |
| Proposed | — | ||
| ACT-011102 | Outreach address corrected Outreach | Robert Jacobs: 7254 Central Ave, Atlanta → 7254 Central Ave Apt 6, Atlanta |
| Proposed | — | ||
| ACT-011103 | Outreach address corrected Outreach | Kimberly Lucas: 3323 Bayshore Dr # 545, Tucson → 3323 Bayshore Dr, Tucson |
| Proposed | — | ||
| ACT-011104 | Outreach address corrected Outreach | Katyh Anderson: 6950 River Rd Apt 35, Dallas → 6950 River Rd, Dallas |
| Proposed | — | ||
| ACT-011105 | Outreach address corrected Outreach | Lori Austin: 3574 Cedar Ln, Fresno → 500 Camelback Rd, San Diego |
| Proposed | — | ||
| ACT-011106 | Outreach address corrected Outreach | Priya McDonald: 5470 Market St, Tucson → 5470 Market St Apt 30, Tucson |
| Proposed | — | ||
| ACT-011107 | Outreach address corrected Outreach | Heather Lawrence: 1794 Elm St # 908, Glendale → 1794 Elm St, Glendale |
| Proposed | — | ||
| ACT-011108 | Outreach address corrected Outreach | Amy Collins: 3899 Grand Ave, Seattle → 4997 Maple Ave, Minneapolis |
| Proposed | — | ||
| ACT-011109 | Outreach address corrected Outreach | Linda Cooper: 4702 Jefferson Ave, Las Vegas → 9108 Washington St, Eden Prairie |
| Proposed | — | ||
| ACT-011110 | Outreach address corrected Outreach | Sarah Marshall: 4580 River Rd Apt 37, Tucson → 4580 River Rd, Tucson |
| Proposed | — | ||
| ACT-011111 | Outreach address corrected Outreach | Linda Paye: 9531 Sage Ct Apt 4, Tampa → 9531 Sage Ct, Tampa |
| Proposed | — | ||
| ACT-011112 | Outreach address corrected Outreach | Arthur Mason: 5652 Jefferson Ave # 776, San Antonio → 5652 Jefferson Ave, San Antonio |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA claim arrived without a member ID. Resolution attached it to an identity that has one, so the claims processor can now pay it against the right member.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.